<#import "/common/function.ftl" as fn>
<@fn.header _title="核对家庭成员基本信息">
 <script language="javascript" type="text/javascript" src="${base}/web/js/My97DatePicker/WdatePicker.js"></script>
 <script language="javascript" type="text/javascript">
     function showTable() {
         $("#table2").toggle(200);
     }
     function ShowPerson(personId) {
         switch (personId) {
             case 1:
                 $("#Text1").val("徐益国");
                 $("#certCode").val("310103196411029566");
                 break;
             case 2:
                 $("#Text1").val("徐益州");
                 $("#certCode").val("310103196411029567");
                 break;
             case 3:
                 $("#Text1").val("潘爱莲");
                 $("#certCode").val("310103196411029568");
                 break;
             default:
                 break;
         }
     }
 </script>
</@fn.header>

<body>
<form action="" method="POST" id="">
    <div class="rightBk">
        <@fn.position _value="街镇核实 &gt;&gt; 核对家庭成员基本信息" />
        <!-- 选项卡 -->
        <div style="margin:0px 0;height:30px">
            <ul class="tab">
		    	<li><a href="#">核对家庭基本信息</a></li>
		    	<li class="visited"><a href="#">核对家庭成员基本信息</a></li>
		    	<li><a href="#">家庭成员可支配收入</a></li>
		   	 	<li><a href="#">家庭成员财产</a></li>
		    	<li><a href="#">核实意见</a></li>
            </ul>
        </div>
	    <div class="title marginTop15">
	        <div class="title-middle">
	            <div class="title-left"></div>
	            <div class="title-caption">核对家庭成员信息概要</div>
	            <div class="title-right"></div>
	        </div>
	    </div>
	                
		<!-- table -->
	    <table class="tableCenter">
	        <tr>
	            <th width="8%">序号</th>
	            <th width="15%">姓名</th>
	            <th width="17%">与申请人代表关系</th>
	            <th width="25%">证件号</th>
	            <th width="20%">申请人类型</th>
	        </tr>
	        <tr>
	            <td>1</td>
	            <td><a href="#" onclick="return ShowPerson(1);">徐益国</a></td>
	            <td>本人</td>
	            <td>310103196411029566</td>
	            <td>共同申请人</td>
	        </tr>
	         <tr>
	            <td>2</td>
	            <td><a href="#" onclick="return ShowPerson(2);">徐益州</a></td>
	            <td>弟弟</td>
	            <td>310103196411029567</td>
	            <td>共同申请人</td>
	        </tr>
	         <tr>
	            <td>3</td>
	            <td><a href="#" onclick="return ShowPerson(3);">潘爱莲</a></td>
	            <td>妻子</td>
	            <td>310103196411029568</td>
	            <td>共同申请人</td>
	        </tr>
	    </table> 
	    <br />
		<!-- title -->
	    <div class="title">
	        <div class="title-middle">
	            <div class="title-left"></div>
	            <div class="title-caption">申请人及家庭成员基本情况</div>
	            <div class="title-right"></div>
	        </div>
	    </div>
	                    
		<!-- table -->
	    <table class="table1">
	        <colgroup>
	            <col style="width: 12%; background-color: #eef3f7;" />
	            <col style="width:17%;" />
	            <col style="width: 8%; background-color: #eef3f7;" />
	            <col style="width: 8%;" />
	            <col style="width: 6%; background-color: #eef3f7;" />
	        </colgroup>
	        <tr>
	            <td>申请人类型</td>
	            <td>
	                <select name="" id="Select1" class="select1">
	                    <option value="">请选择</option>
	                    <option value="01">共同申请人</option>
	                    <option value="02">其他同住人</option>
	                </select>
	            </td>
	            <td colspan="3">与申请人代表关系</td>
	            <td>
	                <select class="select1" name="">
	                    <option value="01">本人</option>
	                    <option value="02">配偶</option>
	                    <option value="03">子女</option>
	                    <option value="06">孙子女</option>
	                    <option value="07">外孙子女</option>
	                    <option value="08">父母</option>
	                    <option value="10">祖父母</option>
	                    <option value="11">外祖父母</option>
	                    <option value="12">兄弟姐妹</option>
	                    <option value="13">其他关系</option>
	                    <option selected="selected" value="">请选择</option>
	                </select>
	            </td>
	        </tr>
	        <tr>
	            <td>姓名</td>
	            <td>
	                <input type="text" id="Text1" class="input4" /> </td>
	            <td>性别</td>
	            <td>
	                <select class="input6" name="">
	                    <option value="1">男</option>
	                    <option value="0">女</option>
	                </select>
	            </td>
	            <td>婚姻状况</td>
	            <td>
	                <select class="select1" name="">
	                    <option value="01">已婚</option>
	                    <option value="02">未婚</option>
	                    <option value="03">离婚</option>
	                    <option value="04">丧偶</option>
	                    <option selected="selected" value="">请选择</option>
	                </select>
	            </td>
	        </tr>
	        <tr>
	            <td>证件类型</td>
	            <td>
	                <select class="select1" name="">
	                    <option value="01">身份证</option>
	                    <option value="02">护照</option>
	                    <option value="03">居住证</option>
	                    <option value="04">军官证</option>
	                    <option value="05">出生证</option>
	                    <option value="06">绿卡</option>
	                    <option value="07">港澳通行证</option>
	                    <option value="08">其他证件</option>
	                    <option selected="selected" value="">请选择</option>
	                </select>
	            </td>
	            <td colspan="3">证件号码</td>
	            <td>
	                <input type="text" class="input4" id="certCode"/>*</td>
	        </tr>
	        <tr>
	            <td>出生日期</td>
	            <td><input type="text" class="input4" /></td>
	            <td colspan="3">文化程度</td>
	            <td>
	                <select class="select1" name="">
	                    <option value="00">请选择</option>
	                    <option value="01">博士</option>
	                    <option value="02">硕士</option>
	                    <option value="03">本科</option>
	                    <option value="04">大专，高职</option>
	                    <option value="05">高中</option>
	                    <option value="06">中专，职校</option>
	                    <option value="07">初中</option>
	                    <option value="08">小学</option>
	                    <option value="09">学龄前儿童</option>
	                    <option value="10">其它</option>
	                    <option selected="selected" value="">请选择</option>
	                </select>
	            </td>
	        </tr>
	        <tr>
	            <td>入沪户籍年月</td>
	            <td><input type="text" class="input4"/></td>
	            <td colspan="3">入申请区户籍年月</td>
	            <td><input type="text" class="input4" /></td>
	        </tr>
	        <tr>
	            <td>入现户籍地年月</td>
	            <td><input type="text" class="input4" /></td>
	            <td colspan="3">当前工作单位(全称)</td>
	            <td><input type="text" class="input4" /></td>
	        </tr>
	    </table>
	           <br />     
		<!-- title -->
	    <div class="title marginTop15">
	        <div class="title-middle">
	            <div class="title-left"></div>
	            <div class="title-caption">证明材料</div>
	            <div class="title-right"></div>
	        </div>
	    </div>
	                
		<!-- table -->
	    <table class="tableCenter">
	        <tr>
	            <th width="8%">选择</th>
	            <th width="8%">序号</th>
	            <th width="52%">材料名称</th>
	            <th width="8%">份数</th>
	            <th width="8%">页数</th>
	            <th width="8%">属性</th>
	            <th width="8%">归还</th>
	        </tr>
	        <tr>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	            <td>&nbsp;</td>
	        </tr>
	    </table>
		
	    <!-- button -->
	    <div class="marginTop15 alignCenter">
	        <img src="${base}/web/img/btnSave.gif" alt="" />
	        <img src="${base}/web/img/btnCancel.gif" alt="" />
	        <img src="${base}/web/img/btnLast.gif" alt="" />
	        <img src="${base}/web/img/btnNext.gif" alt="" />
	    </div>
	</div>
</form>
</body>
</html>